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先天性鼻阻塞:临床与影像学评价。

Congenital nasal obstruction: clinical and radiologic review.

机构信息

Division of Otolaryngology-Head and Neck Surgery, Pennsylvania State University, 500 University Drive, Hershey, PA 17033, USA.

出版信息

Eur J Pediatr. 2012 Apr;171(4):641-50. doi: 10.1007/s00431-011-1591-6. Epub 2011 Oct 1.

DOI:10.1007/s00431-011-1591-6
PMID:21964985
Abstract

Congenital nasal obstruction can result in neonatal respiratory distress because neonates are obligate nasal breathers. Therefore, all physicians who deal with infants should be familiar with the structural abnormalities, masses, and syndromes that cause nasal obstruction, so that appropriate work-up and treatment can be promptly initiated. This paper reviews the embryology of the nasal passage and then continues with the different causes of nasal obstruction. Special attention is paid to the presentation, physical exam findings, and imaging modality of choice.

摘要

先天性鼻阻塞可导致新生儿呼吸窘迫,因为新生儿是强制性的鼻呼吸者。因此,所有处理婴儿的医生都应该熟悉导致鼻阻塞的结构异常、肿块和综合征,以便能够及时进行适当的检查和治疗。本文回顾了鼻腔的胚胎学,然后继续讨论了导致鼻阻塞的不同原因。特别注意其表现、体格检查结果和首选的影像学检查方式。

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1
Congenital nasal obstruction: clinical and radiologic review.先天性鼻阻塞:临床与影像学评价。
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2
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Imaging studies in the diagnostic workup of neonatal nasal obstruction.新生儿鼻阻塞诊断检查中的影像学研究。
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The Differential Diagnosis of Congenital Developmental Midline Nasal Masses: Histopathological, Clinical, and Radiological Aspects.先天性发育性中线鼻腔肿物的鉴别诊断:组织病理学、临床及影像学方面
Diagnostics (Basel). 2023 Aug 29;13(17):2796. doi: 10.3390/diagnostics13172796.
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Neonatal Airway Abnormalities.

本文引用的文献

1
Characterization of congenital anomalies in individuals with choanal atresia.后鼻孔闭锁患者先天性异常的特征分析。
Arch Otolaryngol Head Neck Surg. 2009 Jun;135(6):543-7. doi: 10.1001/archoto.2009.53.
2
Nasal, septal, and turbinate anatomy and embryology.鼻、鼻中隔及鼻甲的解剖学与胚胎学
Otolaryngol Clin North Am. 2009 Apr;42(2):193-205, vii. doi: 10.1016/j.otc.2009.01.008.
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Teratoma of the nasal septum in a neonate: an endoscopic approach.新生儿鼻中隔畸胎瘤:一种内镜治疗方法。
新生儿气道异常
Children (Basel). 2022 Jun 24;9(7):944. doi: 10.3390/children9070944.
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Neonatal nasal obstruction.新生儿鼻塞。
Eur Arch Otorhinolaryngol. 2021 Oct;278(10):3605-3611. doi: 10.1007/s00405-020-06546-y. Epub 2021 Jan 3.
5
A review of genetics of nasal development and morphological variation.鼻发育遗传学与形态变异综述。
J Family Med Prim Care. 2020 Apr 30;9(4):1825-1833. doi: 10.4103/jfmpc.jfmpc_1265_19. eCollection 2020 Apr.
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Choanal Atresia and Craniosynostosis: Development and Disease.后鼻孔闭锁与颅缝早闭:发育与疾病
Plast Reconstr Surg. 2018 Jan;141(1):156-168. doi: 10.1097/PRS.0000000000003928.
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Oropharyngeal dermoid cyst in an infant with intermittent airway obstruction. A case report.婴儿口咽皮样囊肿伴间歇性气道梗阻。病例报告。
Neuroradiol J. 2014 Oct;27(5):627-31. doi: 10.15274/NRJ-2014-10085. Epub 2014 Sep 25.
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Down syndrome: otolaryngological effects of rapid maxillary expansion.
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Choanal atresia: embryologic analysis and evolution of treatment, a 30-year experience.
Laryngoscope. 2008 May;118(5):862-6. doi: 10.1097/MLG.0b013e3181639b91.
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Nasal glioma.
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High proportion of pituitary abnormalities and other congenital defects in children with congenital nasal pyriform aperture stenosis.先天性鼻梨状孔狭窄患儿垂体异常及其他先天性缺陷的比例较高。
Pediatr Res. 2006 Oct;60(4):478-84. doi: 10.1203/01.pdr.0000238380.03683.cb. Epub 2006 Aug 28.
8
Congenital frontonasal masses: developmental anatomy, malformations, and MR imaging.先天性额鼻肿物:发育解剖、畸形及磁共振成像
Pediatr Radiol. 2006 Jul;36(7):647-62; quiz 726-7. doi: 10.1007/s00247-005-0100-3. Epub 2006 Mar 11.
9
Congenital midnasal stenosis in an infant.一名婴儿的先天性中鼻狭窄。
Int J Pediatr Otorhinolaryngol. 2004 Jun;68(6):823-5. doi: 10.1016/j.ijporl.2004.01.008.
10
Congenital nasal pyriform aperture stenosis: diagnosis and management of 20 cases.
Ann Otol Rhinol Laryngol. 2001 Jan;110(1):70-5. doi: 10.1177/000348940111000113.